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APPLICATION FOR MEMBERSHIP OF 
THE DUBLIN NATURALISTS' FIELD CLUB

   Surname: (Caps)   

   Other names: (caps)   

   Address:   
                     
                     
                     

    Email:      

   Tel no. (home)                   (office/mobile)   

   Family  €25                  Ordinary €20                     Student €7  

   I wish to pay by direct debit when my subscription is being renewed.   

   *I agree to support the objectives of The Dublin Naturalists' Field Club.

   Signature:

   Date:    

                                                                                                                         

                              

 

Please print out a copy of this Membership Form and send to the Membership Secretary with your subscription.
Please make your cheque/PO payable to The Dublin Naturalists' Field Club and send to:
Fridolin Kerr (Membership Secretary),
31 Cherrywood Park, Clondalkin, 
Dublin 24

· Renewal of subscription  is due on 1st January of each year.

· Applications for membership are subject to the approval of the Board of The  Dublin Naturalists' Field Club.

· Please note: Children under the age of 12 years must be accompanied by an adult.

· Dogs are prohibited on outings.

The Dublin Naturalists' Field Club is a Company Limited by Guarantee
No.270016, Charity CHY 11424.

Registered address: 35 Nutley Park, Donnybrook, Dublin 

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